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OAKWOOD HEALTHCARE, INC.
DSH230270 OAKWOOD HEALTHCARE INC. dba Corewell Health Taylor Hospital
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Covered Entity Details
Entity Name
OAKWOOD HEALTHCARE INC. dba Corewell Health Taylor Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH230270
Entity Address
10000 Telegraph Road
TAYLOR, MI 48180
Medicare Provider Number
230270
Participating Start Date
10/1/2015
Last Recertification Date
8/27/2024
Pharmacy Details
Pharmacy Name
OAKWOOD HEALTHCARE, INC.
Pharmacy Address
DBA - BEAUMONT PHARMACY SOUTHGATE
15777 NORTHLINE RD STE 100A
SOUTHGATE, MI 48195-2300
Pharmacy Comments
Contract Details
Approval Date
10/1/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Carolyn Wilson, Chief Operating Officer
(947) 522-3338
Contract Pharmacy Representative
Beaumont Health
Kathleen Pawlicki, VP Chief Pharmacist
(947) 522-1167
Signed By Date
10/1/2019
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